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    Weight gain after heart transplantation in adults: systematic review and meta-analysis

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    Authors
    Miura, K.
    Yu, R.
    Sivapalan, K.
    Liyanage, U. E.
    Entwistle, T.
    McKenzie, S. C.
    Green, Adèle C
    Affiliation
    From the Population Health Department, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia
    Issue Date
    2021
    
    Metadata
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    Abstract
    Gain in weight is common after heart transplantation but the magnitude of usual weight gain and whether this varies by country is unknown. We systematically reviewed all relevant studies to quantify weight change among heart transplant recipients (HTRs) in the years after transplantation and assess variation with geographic location. We searched PubMed, Cumulative Index to Nursing and Allied Health Literature, and Excerpta Medica Database databases to September 2020. Eligible studies reported adult HTRs' mean/median weight and/or body mass index (BMI) up to time of transplantation (baseline) and posttransplantation in any language. Weighted mean differences (WMDs) (95% confidence intervals [CIs]) of weight/BMI from baseline to posttransplantation were estimated using a random-effects model. Ten studies met the inclusion criteria. Pooled analysis showed weight gain of 7.1 kg (95% CI, 4.4-9.8 kg) in HTRs 12 months posttransplant, with corresponding BMI increase of 1.69 kg/m2 (95% CI, 0.83-2.55 kg/m2). Greatest weight gain at 12 months posttransplant occurred in US HTRs (WMD weight 10.42 kg, BMI 3.25 kg/m2) and least, in European HTRs (WMD weight 3.10 kg, BMI 0.78 kg/m2). In conclusion, HTRs gain substantial weight in the years after transplantation, but varying widely by geographic location.
    Citation
    Miura K, Yu R, Sivapalan K, Liyanage UE, Entwistle T, McKenzie SC, et al. Weight Gain After Heart Transplantation in Adults. Vol. Publish Ahead of Print, ASAIO Journal. Ovid Technologies (Wolters Kluwer Health); 2021.
    Journal
    Asaio journal
    URI
    http://hdl.handle.net/10541/624737
    DOI
    10.1097/mat.0000000000001566
    PubMed ID
    34560719
    Additional Links
    https://dx.doi.org/10.1097/mat.0000000000001566
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1097/mat.0000000000001566
    Scopus Count
    Collections
    All Paterson Institute for Cancer Research

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